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Welcome to Summit Health

Customer Service

Medical Customer Service

For claim inquiries, adjustment requests, questions about our billing policies, or our provider search tool (Find Care):

medicalmedicare@yoursummithealth.com
844-827-2355 

Pharmacy Customer Service

pharmacymedicare@yoursummithealth.com
844-827-2355

Fax: 855-637-2666

Provider support

Summit Health Provider Relations

For escalated claim inquiries, contract interpretation, educational opportunities and onsite visit requests:
providerrelations@yoursummithealth.com

Contracting & credentialing

For questions regarding contracting and credentialing, please visit our work with us page.

Referral and authorizations

For questions about referrals, authorizations and how to submit requests:
844-931-1778
Fax: 855-637-2666

Electronic data interchange (EDI)

For questions about electronic claim submission, payments and EFT/ERA enrollment forms:
edigroup@modahealth.com
800-852-5195

Benefit Tracker (EBT)

For questions about our eligibility and claims tracking tool:
ebt@modahealth.com
877-277-7270

Healthcare Services: Case management & disease management

833-460-0444
Fax: 855-232-6904

 

Mailing address

Summit Health Plan, Inc.
P.O. Box 820070
Portland, OR 97282

Holidays 2022

We observe the following holidays. Business offices will be closed.

  1. Memorial Day May 30
  2. Independence Day July 4
  3. Labor Day September 5
  4. Thanksgiving Nov. 24
  5. Christmas Dec. 25

Last updated Oct. 1, 2021
H2765_4006

Contact us

Have questions? We’re here to help. Call us today at 844-827-2355 (TTY users, please call 711). Our customer service team is available from 7 a.m. to 8 p.m., Pacific Time, seven days a week from Oct. 1 to March 31. After March 31, your call will be handled by our automated phone system on weekends and holidays.

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